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Meetings Archive For Hospital Medicine 2020, Virtual Competition..

Abstract Number: 16
RECHARGING THE DISCHARGE PROCESS: A QUANTITATIVE APPROACH TO THE MULTIDISCIPLINARY MODEL
Hospital Medicine 2020, Virtual Competition
Background: Delays in the discharge of the hospital ward patients cause a backlog for new admissions from the Emergency Department, and transfers from the Intensive Care Units and telemetry units. This bottleneck unnecessarily increases overall resource utilization and also negatively impacts patient care and satisfaction. Therefore, our Internal Medicine Residency Program aimed through this quality […]
Abstract Number: 17
PROACTIVE MENTAL HEALTHCARE FOR HOSPITALIZED PATIENTS REDUCES LENGTH OF STAY AND REDUCES COSTS
Hospital Medicine 2020, Virtual Competition
Background: Mental illness is common among hospitalized patients and is associated with increased length of stay, higher costs, and worse clinical outcomes. Inpatient psychiatry consultations have traditionally held a reactive model, in which primary teams obtain consultation for patients that have developed active psychiatric symptoms. The reactive model has frequently led to missed opportunities to […]
Abstract Number: 18
REMOVING FALSELY REPORTED PENICILLIN AND BETA LACTAM ALLERGIES OF HOSPITALIZED PATIENTS IN 21 HOSPITAL RURAL HEALTH SYSTEM – BALLAD HEALTH
Hospital Medicine 2020, Virtual Competition
Background: Penicillin discovered in 1928 by Sir Alexander Fleming, beginning of the antibiotic revolution. Penicillin as helped increase average life Span in USA from 47 years to 78.8 years. Beta lactam account to about 40% of total antibiotic use every year. 10% of patients in U.S. report penicillin allergy, but 9 out of 10 patients […]
Abstract Number: 19
RED DAY FLAG: A VISUAL CONTROL THAT REDUCES HOSPITAL LENGTH OF STAY AND IMPROVES THE EFFICIENCY OF PATIENT CARE
Hospital Medicine 2020, Virtual Competition
Background: The hospitalist service at this large Academic tertiary center has a length of stay index that is longer than expected. Despite improvements in multi-disciplinary rounds and co-locating patients on a geographical units, improvements in length of stay slowed. Interviews of hospitalist physicians indicate that there are frequent delays in procedures, imaging and consult recommendations. […]
Abstract Number: 20
SQUEEZE THE DAY: AN APPROACH TO THROUGHPUT
Hospital Medicine 2020, Virtual Competition
Background: Hospitalists are key stakeholders in patient flow throughout the hospital and are pivotal in creating efficient patient movement. Throughput metrics are a large focus for all hospitals, and it takes collaborative effort from many disciplines to effectively shift patient flow toward efficiency. Purpose: To reduce decision to admit to bed minutes in a collaborative […]
Abstract Number: 21
DIAGNOSTIC STEWARDSHIP INTERVENTIONS FOR CLOSTRIDIOIDES DIFFICILE INFECTION
Hospital Medicine 2020, Virtual Competition
Background: Our institution’s rate of hospital acquired Clostridioides difficile (C. diff) infection (CDI) is higher than expected based on documented severity of illness of our patients. The C. diff testing algorithm at our institution utilizes a multi-step approach. It begins with two tests (antigen EIA and toxin A/B EIA). If the results of these two […]
Abstract Number: 22
ASK ABOUT WHAT MATTERS: IMPROVING ADVANCE CARE PLANNING DOCUMENTATION FOR HOSPITALIZED PATIENTS USING A NOVEL EHR-BASED TOOL
Hospital Medicine 2020, Virtual Competition
Background: Hospitalists often care for patients with serious illness and commonly review and discuss advance care planning (ACP). Documented ACP conversations can be difficult to access in the electronic health record (EHR) due to the lack of a centralized location for ACP documentation and individual clinician practice variation leading to ACP documentation existing in multiple […]
Abstract Number: 23
INCREASING EFFECTIVENESS OF ALERTS
Hospital Medicine 2020, Virtual Competition
Background: One of the widely reported benefits of electronic health records (EHRs) is the ability to alert clinicians, especially regarding medication-related safety issues. However, soon after the installation of EHRs, the phenomenon of “alert fatigue” was realized. The Agency for Healthcare Research and Quality has shown clinicians override the vast majority of computerized physician order […]
Abstract Number: 24
OPTIMIZING OVERNIGHT CROSS-COVER COMMUNCIATION
Hospital Medicine 2020, Virtual Competition
Background: One of the challenges in hospital medicine is the care of patients overnight, when the primary team is unavailable, and care is being provided by those who are not as familiar with the patient. This is compounded by the high volume of pages at night. At UNC Rex Hospital, these factors resulted in delays […]
Abstract Number: 25
A QUALITY IMPROVEMENT PROJECT TO IMPROVE COMMUNICATION BETWEEN INPATIENT AND OUTPATIENT PROVIDERS THROUGH DISCHARGE SUMMARIES
Hospital Medicine 2020, Virtual Competition
Background: Discharge summaries assist in the transition from inpatient to outpatient care by communicating key diagnoses, medication changes, and follow-up instructions. Despite use of standard formats for discharge summaries through electronic medical records (EMR), primary care physicians (PCPs) report dissatisfaction with locating important information in discharge summaries. Purpose: The aim of our project was to […]